22D2028430 CLIA NUMBER - MGB AMC PEDIATRIC NEUROTHERAPEUTICS AND PSYCHOPHARMACOLOGY CLINICAL & RESEARCH PROGRAM

Laboratory Demographics

  • CLIA Code: 22D2028430
  • Facility Name: MGB AMC PEDIATRIC NEUROTHERAPEUTICS AND PSYCHOPHARMACOLOGY CLINICAL & RESEARCH PROGRAM
  • Facility Address: 55 FRUIT ST, WRN 625 MGH PEDIATRIC PSYCHOPHARMACOLOGY & ADULT ADHD UNIT
    BOSTON, MA
    ZIP 02114
  • Facility Phone: 617 726-1743
  • Facility Type: Other - OUTPATIENT RESEARCH CLINI
  • Facility Type: Waiver
  • Lab Director: JANET WOZNIAK
  • NPI Number: 1801015045
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 22D2028430
LAB Type Other - OUTPATIENT RESEARCH CLINI
Facility Name MGB AMC PEDIATRIC NEUROTHERAPEUTICS AND PSYCHOPHARMACOLOGY CLINICAL & RESEARCH PROGRAM
Street 55 FRUIT ST, WRN 625 MGH PEDIATRIC PSYCHOPHARMACOLOGY & ADULT ADHD UNIT
City BOSTON
State MA
ZIP 02114
Phone 617 726-1743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Other - OUTPATIENT RESEARCH CLINI
Lab Director JANET WOZNIAK

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This page was last updated on: 9/29/2025